Parent and Caregiver Active Participation Toolkit (PACT): Adaptation for a Home Visitation Program

Objectives Parent engagement poses a persistent challenge to home visitation (HV) programs. Previous work on parent engagement in HV has focused primarily on enrollment, attendance, and retention, with less attention on participation. The purpose of this study was to adapt an engagement toolkit orig...

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Veröffentlicht in:Journal of child and family studies 2020-01, Vol.29 (1), p.29-43
Hauptverfasser: Haine-Schlagel, Rachel, Fettes, Danielle L., Finn, Natalie, Hurlburt, Michael, Aarons, Gregory A.
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container_end_page 43
container_issue 1
container_start_page 29
container_title Journal of child and family studies
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creator Haine-Schlagel, Rachel
Fettes, Danielle L.
Finn, Natalie
Hurlburt, Michael
Aarons, Gregory A.
description Objectives Parent engagement poses a persistent challenge to home visitation (HV) programs. Previous work on parent engagement in HV has focused primarily on enrollment, attendance, and retention, with less attention on participation. The purpose of this study was to adapt an engagement toolkit originally developed for child mental health treatment settings, the Parent And Caregiver Active Participation Toolkit (PACT), and test the adapted toolkit in a HV program, SafeCare ® (SC), with a focus on parent participation. Methods Toolkit adaptation was informed by interviews/focus groups with parents and home visitors. Next, home visitors ( n  = 6) were trained to use adapted PACT for SC as part of SC delivery to 18 parents. A comparison group included 24 parents who received SC 1 year prior to this study. Analyses compared PACT for SC participants to the comparison group on parent participation and home visitor fidelity to assignment of homework. Qualitative and quantitative data from parents, home visitors, and supervisors ( n  = 4) assessed the acceptability, utility, appropriateness, and feasibility of PACT for SC. Results Parents receiving PACT for SC had higher participation and reported greater home visitor fidelity to homework assignment than comparison parents. Parents found PACT for SC acceptable and useful as part of SC. Home visitors and supervisors identified some limitations in PACT for SC’s utility but generally found it to be a positive, feasible addition to HV services. Conclusions Results suggest that enhancing HV programs with an engagement toolkit may improve parents’ participation in services and providers’ assignment of homework between sessions.
doi_str_mv 10.1007/s10826-019-01659-3
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Previous work on parent engagement in HV has focused primarily on enrollment, attendance, and retention, with less attention on participation. The purpose of this study was to adapt an engagement toolkit originally developed for child mental health treatment settings, the Parent And Caregiver Active Participation Toolkit (PACT), and test the adapted toolkit in a HV program, SafeCare ® (SC), with a focus on parent participation. Methods Toolkit adaptation was informed by interviews/focus groups with parents and home visitors. Next, home visitors ( n  = 6) were trained to use adapted PACT for SC as part of SC delivery to 18 parents. A comparison group included 24 parents who received SC 1 year prior to this study. Analyses compared PACT for SC participants to the comparison group on parent participation and home visitor fidelity to assignment of homework. Qualitative and quantitative data from parents, home visitors, and supervisors ( n  = 4) assessed the acceptability, utility, appropriateness, and feasibility of PACT for SC. Results Parents receiving PACT for SC had higher participation and reported greater home visitor fidelity to homework assignment than comparison parents. Parents found PACT for SC acceptable and useful as part of SC. Home visitors and supervisors identified some limitations in PACT for SC’s utility but generally found it to be a positive, feasible addition to HV services. Conclusions Results suggest that enhancing HV programs with an engagement toolkit may improve parents’ participation in services and providers’ assignment of homework between sessions.</description><identifier>ISSN: 1062-1024</identifier><identifier>EISSN: 1573-2843</identifier><identifier>DOI: 10.1007/s10826-019-01659-3</identifier><identifier>PMID: 33907362</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adaptation ; Assignment ; Behavioral Science and Psychology ; Caregivers ; Child &amp; adolescent mental health ; Child and School Psychology ; Data ; Feasibility ; Fidelity ; Focus Groups ; Health promotion ; Home Visits ; Homework ; Mental health services ; Original Paper ; Parent participation ; Parenthood education ; Parents &amp; parenting ; Psychology ; Social Sciences ; Sociology ; Supervisors ; Treatment methods ; Visitation ; Visitors</subject><ispartof>Journal of child and family studies, 2020-01, Vol.29 (1), p.29-43</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Journal of Child and Family Studies is a copyright of Springer, (2020). 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Previous work on parent engagement in HV has focused primarily on enrollment, attendance, and retention, with less attention on participation. The purpose of this study was to adapt an engagement toolkit originally developed for child mental health treatment settings, the Parent And Caregiver Active Participation Toolkit (PACT), and test the adapted toolkit in a HV program, SafeCare ® (SC), with a focus on parent participation. Methods Toolkit adaptation was informed by interviews/focus groups with parents and home visitors. Next, home visitors ( n  = 6) were trained to use adapted PACT for SC as part of SC delivery to 18 parents. A comparison group included 24 parents who received SC 1 year prior to this study. Analyses compared PACT for SC participants to the comparison group on parent participation and home visitor fidelity to assignment of homework. Qualitative and quantitative data from parents, home visitors, and supervisors ( n  = 4) assessed the acceptability, utility, appropriateness, and feasibility of PACT for SC. Results Parents receiving PACT for SC had higher participation and reported greater home visitor fidelity to homework assignment than comparison parents. Parents found PACT for SC acceptable and useful as part of SC. Home visitors and supervisors identified some limitations in PACT for SC’s utility but generally found it to be a positive, feasible addition to HV services. 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Previous work on parent engagement in HV has focused primarily on enrollment, attendance, and retention, with less attention on participation. The purpose of this study was to adapt an engagement toolkit originally developed for child mental health treatment settings, the Parent And Caregiver Active Participation Toolkit (PACT), and test the adapted toolkit in a HV program, SafeCare ® (SC), with a focus on parent participation. Methods Toolkit adaptation was informed by interviews/focus groups with parents and home visitors. Next, home visitors ( n  = 6) were trained to use adapted PACT for SC as part of SC delivery to 18 parents. A comparison group included 24 parents who received SC 1 year prior to this study. Analyses compared PACT for SC participants to the comparison group on parent participation and home visitor fidelity to assignment of homework. 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source Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); EBSCOhost Education Source; SpringerLink Journals - AutoHoldings
subjects Adaptation
Assignment
Behavioral Science and Psychology
Caregivers
Child & adolescent mental health
Child and School Psychology
Data
Feasibility
Fidelity
Focus Groups
Health promotion
Home Visits
Homework
Mental health services
Original Paper
Parent participation
Parenthood education
Parents & parenting
Psychology
Social Sciences
Sociology
Supervisors
Treatment methods
Visitation
Visitors
title Parent and Caregiver Active Participation Toolkit (PACT): Adaptation for a Home Visitation Program
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